<!DOCTYPE html>
<html>

	<head>
		<meta charset="UTF-8">
		<title>Insert title here</title>
		<link rel="stylesheet" href="./layui/css/layui.css">
		<script type="text/javascript" src="js/global.js"></script>
		<script src="./layui/layui.js"></script>
	</head>

	<body>
		<div class="layui-form-item" style="margin-top: 20px">
			<label class="layui-form-label">学生姓名：</label>
			<div class="layui-input-inline" style="width: 350px">
				<input disabled type="text" id="stuName" name="stuName" required lay-verify="required" placeholder="" autocomplete="off" class="layui-input">
			</div>
		</div>
		<div class="layui-form-item">
			<label class="layui-form-label">学生年龄：</label>
			<div class="layui-input-inline" style="width: 350px">
				<input disabled type="text" id="age" name="age" required lay-verify="required" placeholder="" autocomplete="off" class="layui-input">
			</div>
		</div>
		<div class="layui-form-item">
			<label class="layui-form-label">学生性别：</label>
			<div class="layui-input-inline" style="width: 350px">
				<input disabled type="text" id="sex" name="sex" required lay-verify="required" placeholder="" autocomplete="off" class="layui-input">
			</div>
		</div>
		<div class="layui-form-item">
			<label class="layui-form-label">联系电话：</label>
			<div class="layui-input-inline" style="width: 350px">
				<input disabled type="text" id="phone" name="phone" required lay-verify="required" placeholder="" autocomplete="off" class="layui-input">
			</div>
		</div>
		<div class="layui-form-item">
			<label class="layui-form-label">学生来源：</label>
			<div class="layui-input-inline" style="width: 350px">
				<input disabled type="text" id="msgSource" name="msgSource" required lay-verify="required" placeholder="" autocomplete="off" class="layui-input">
			</div>
		</div>
		<div class="layui-form-item">
			<label class="layui-form-label">来源地址：</label>
			<div class="layui-input-inline" style="width: 350px">
				<input disabled type="text" id="sourceUrl" name="sourceUrl" required lay-verify="required" placeholder="" autocomplete="off" class="layui-input">
			</div>
		</div>
		<div class="layui-form-item">
			<label class="layui-form-label">住址：</label>
			<div class="layui-input-inline" style="width: 350px">
				<input disabled type="text" id="address" name="address" required lay-verify="required" placeholder="" autocomplete="off" class="layui-input">
			</div>
		</div>
		<div class="layui-form-item">
			<label class="layui-form-label">咨询师：</label>
			<div class="layui-input-inline" style="width: 350px">
				<input disabled type="text" id="askerName" name="askerName" required lay-verify="required" placeholder="" autocomplete="off" class="layui-input">
			</div>
		</div>
		<div class="layui-form-item">
			<label class="layui-form-label">QQ：</label>
			<div class="layui-input-inline" style="width: 350px">
				<input disabled type="text" id="qq" name="qq" required lay-verify="required" placeholder="" autocomplete="off" class="layui-input">
			</div>
		</div>
		<div class="layui-form-item">
			<label class="layui-form-label">微信：</label>
			<div class="layui-input-inline" style="width: 350px">
				<input disabled type="text" id="weiXin" name="weiXin" required lay-verify="required" placeholder="" autocomplete="off" class="layui-input">
			</div>
		</div>
		<div class="layui-form-item">
			<label class="layui-form-label">创建时间：</label>
			<div class="layui-input-inline" style="width: 350px">
				<input disabled type="text" id="createTime" name="createTime" required lay-verify="required" placeholder="" autocomplete="off" class="layui-input">
			</div>
		</div>
		<div class="layui-form-item">
			<label class="layui-form-label">课程方向：</label>
			<div class="layui-input-inline" style="width: 350px">
				<input disabled type="text" id="learnFoward" name="learnFoward" required lay-verify="required" placeholder="" autocomplete="off" class="layui-input">
			</div>
		</div>
		<div class="layui-form-item">
			<label class="layui-form-label">是否有效：</label>
			<div class="layui-input-inline" style="width: 350px">
				<input disabled type="text" id="isValid" name="isValid" required lay-verify="required" placeholder="" autocomplete="off" class="layui-input">
			</div>
		</div>
		<div class="layui-form-item">
			<label class="layui-form-label">记录：</label>
			<div class="layui-input-inline" style="width: 350px">
				<input disabled type="text" id="record" name="record" required lay-verify="required" placeholder="" autocomplete="off" class="layui-input">
			</div>
		</div>
		<div class="layui-form-item">
			<label class="layui-form-label">是否回访：</label>
			<div class="layui-input-inline" style="width: 350px">
				<input disabled type="text" id="isReturnVist" name="isReturnVist" required lay-verify="required" placeholder="" autocomplete="off" class="layui-input">
			</div>
		</div>
		<div class="layui-form-item">
			<label class="layui-form-label">第一次访问：</label>
			<div class="layui-input-inline" style="width: 350px">
				<input disabled type="text" id="firstVisitTime" name="firstVisitTime" required lay-verify="required" placeholder="" autocomplete="off" class="layui-input">
			</div>
		</div>
		<div class="layui-form-item">
			<label class="layui-form-label">是否上门：</label>
			<div class="layui-input-inline" style="width: 350px">
				<input disabled type="text" id="isHome" name="isHome" required lay-verify="required" placeholder="" autocomplete="off" class="layui-input">
			</div>
		</div>
		<div class="layui-form-item">
			<label class="layui-form-label">上门时间：</label>
			<div class="layui-input-inline" style="width: 350px">
				<input disabled type="text" id="homeTime" name="homeTime" required lay-verify="required" placeholder="" autocomplete="off" class="layui-input">
			</div>
		</div>
		<div class="layui-form-item">
			<label class="layui-form-label">是否支付：</label>
			<div class="layui-input-inline" style="width: 350px">
				<input disabled type="text" id="isPay" name="isPay" required lay-verify="required" placeholder="" autocomplete="off" class="layui-input">
			</div>
		</div>
		<div class="layui-form-item">
			<label class="layui-form-label">支付时间：</label>
			<div class="layui-input-inline" style="width: 350px">
				<input disabled type="text" id="payTime" name="payTime" required lay-verify="required" placeholder="" autocomplete="off" class="layui-input">
			</div>
		</div>
		<div class="layui-form-item">
			<label class="layui-form-label">支付金额：</label>
			<div class="layui-input-inline" style="width: 350px">
				<input disabled type="text" id="money" name="money" required lay-verify="required" placeholder="" autocomplete="off" class="layui-input">
			</div>
		</div>
		<div class="layui-form-item">
			<label class="layui-form-label">是否进班：</label>
			<div class="layui-input-inline" style="width: 350px">
				<input disabled type="text" id="isInClass" name="isInClass" required lay-verify="required" placeholder="" autocomplete="off" class="layui-input">
			</div>
		</div>
		<div class="layui-form-item">
			<label class="layui-form-label">进班时间：</label>
			<div class="layui-input-inline" style="width: 350px">
				<input disabled type="text" id="inClassTime" name="inClassTime" required lay-verify="required" placeholder="" autocomplete="off" class="layui-input">
			</div>
		</div>
		<div class="layui-form-item">
			<label class="layui-form-label">咨询师备注：</label>
			<div class="layui-input-inline" style="width: 350px">
				<input disabled type="text" id="askerContent" name="askerContent" required lay-verify="required" placeholder="" autocomplete="off" class="layui-input">
			</div>
		</div>
		<div class="layui-form-item">
			<label class="layui-form-label">是否报备：</label>
			<div class="layui-input-inline" style="width: 350px">
				<input disabled type="text" id="isBaoBei" name="isBaoBei" required lay-verify="required" placeholder="" autocomplete="off" class="layui-input">
			</div>
		</div>

	</body>

</html>